Individual provider Active NPI

Justin Marsh, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1093511800
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2026-0266 Issued in NM
Practice address
1155 N Miranda St Apt B3
Las Cruces, NM 88005-2063
Phone
(413) 320-8916
NPI assigned
Feb 21, 2025
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2026-0266 NM Primary

Addresses

Primary practice location

1155 N Miranda St Apt B3
Las Cruces, NM 88005-2063

Mailing address

1155 N Miranda St Apt B3
Las Cruces, NM 88005-2063

Other practice location 1

9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone (832) 869-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2026-0266NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereign Therapy & Recovery LLC Clinical CurrentSince Nov 30, 2025 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc Case Manager/Care Coordinator CurrentSince Feb 23, 2025 Accepting new patients

Locations

400 Gold Ave SW
Albuquerque, NM 87102
Phone (505) 224-9124

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1093511800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N MIRANDA ST APT B3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N MIRANDA ST APT B3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052063",
            "telephone_number": "413-320-8916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9310 Coors Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144006",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2026-0266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.